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Organization

ANSIBLE HEALTH MEDICAL GROUP OF KANSAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICIELLE TIMTIMAN (CREDENTIALING LEAD)
(276) 208-7087
Entity
Organization

Contact information

Practice address
7300 WEST 110TH STREET COMMERCE PLAZA I, 7TH FLOOR, OVERLAND PARK, KS 66210
(877) 267-4253
Mailing address
1032 E BRANDON BLVD # 4253, BRANDON, FL 33511-5509
(877) 267-4253

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207R00000X
Internal Medicine Physician
207RP1001X
Pulmonary Disease Physician
Primary
224Y00000X
Clinical Exercise Physiologist
225100000X
Physical Therapist
227800000X
Certified Respiratory Therapist
227900000X
Registered Respiratory Therapist
363L00000X
Nurse Practitioner

Other

Enumeration date
01/30/2024
Last updated
05/07/2025
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